📞 Call Us: +1 (800) 123-4567 ✉️ info@medixionpro.com 📍 150 Washington Ave, Santa Fe, NM 87501 ⭐ 97% First-Pass Claim Rate 🏥 Trusted by 500+ Providers Nationwide 🔒 HIPAA Compliant & Certified 🌐 Serving All 50 States Since 2019 📞 Call Us: +92-9295568430 ✉️ info@medixionpro.com 📍 150 Washington Ave, Santa Fe, NM 87501 ⭐ 97% First-Pass Claim Rate 🏥 Trusted by 500+ Providers Nationwide 🔒 HIPAA Compliant & Certified 🌐 Serving All 50 States Since 2019
Trusted Healthcare & IT Partner Since 2019

Expert Medical Billing & Revenue Cycle Management

We handle medical billing, revenue cycle management, and healthcare IT for over 500 providers across all 50 states. Our team achieves a 97% first-pass claim acceptance rate and gets payments back 40% faster than the industry average. Whether you need full billing support, denial management, credentialing, or EHR help, we take care of it so you can focus on your patients.

6+
Years of Excellence
97%
First-Pass Claim Rate
40%
Faster Reimbursements
500+
Providers Served
First-Pass Claim Rate
97%
↑ Far above 85% industry avg
Collection Rate
98.4%
↑ 12% vs industry avg
Denial Rate
2.1%
↓ 60% reduction achieved
HIPAA Compliant
✅ Certified
All data 100% secure
Years of Excellence
6+
🏆 Trusted since 2019
Award-Winning RCM
HIPAA Certified
97% First-Pass Rate
All 50 States
500+ Providers Trusted
98.4% Collection Rate

Performance That Speaks for Itself

Real numbers from our billing and healthcare IT work. These are the results practices see within their first 90 days with us.

97%
First-Pass Rate

Medical Billing Excellence

Our multi-layer scrubbing engine catches every error before submission. We achieve a 97% first-pass acceptance rate compared to the 85% industry average, delivering faster payment and zero rework for your team.

40%
Faster Payments

Revenue Cycle Acceleration

Practices partnering with us see reimbursement timelines shrink by 40% within the first 90 days. Our electronic submission workflows and proactive follow-up eliminate delays most in-house teams accept as normal.

89%
Appeal Win Rate

Denial Management Mastery

When payers deny, we fight back. Our AR specialists achieve an 89% appeal success rate by building payer-specific documentation packages and submitting compliant appeals on every contested claim.

2.1%
Avg Denial Rate

Industry-Low Denial Rate

While the industry average denial rate exceeds 8%, our clients maintain just 2.1%. Every denial is categorized, tracked, and resolved at the root, preventing the same error from repeating month after month.

500+
IT Services

Healthcare IT Projects Delivered

From custom EHR integrations and telemedicine platforms to cybersecurity audits and HIPAA-compliant cloud migrations, our IT team has delivered 500+ healthcare technology projects across all 50 states.

99%
IT Services

Client Satisfaction in IT

Our healthcare IT support and implementation teams maintain a 99% client satisfaction rate. From EHR onboarding to round-the-clock system monitoring, we deliver seamless, reliable technology every time.

Everything Your Practice Needs, Under One Roof

🔒

HIPAA-Compliant at Every Layer

All patient data is encrypted in transit and at rest. Every client receives a signed BAA. Our annual third-party security audits ensure we exceed regulatory requirements not just meet them.

📊

Transparent Real-Time Reporting

Monthly executive dashboards covering gross charges, net collections, denial rates, days in AR, and payer mix analysis. You always know exactly where your revenue stands.

🤝

Dedicated Account Manager

Every practice receives a single dedicated account manager your direct point of contact for billing questions, escalations, and strategy. No call centers, no ticket queues.

No System Changes Required

We integrate seamlessly into your existing EHR and practice management software. Zero disruption to your workflow we work within your current environment from day one.

Client Performance Metrics

First-Pass Acceptance Rate
Industry Avg: 85%Us: 97%
Collection Rate
Industry Avg: 80%Us: 98.4%
Appeal Success Rate
Industry Avg: 60%Us: 89%+
Client Retention Rate
Industry Avg: 70%Us: 95%+
IT Services
Industry Avg: 75%Us: 99%

Our Proven 6-Step RCM Process

From your very first patient touchpoint to final payment collection, every step is optimized for maximum revenue. Click each step to learn more.

⚡ Step 1 of 6

Insurance Eligibility Verification

Before a single patient walks through your door, our team verifies coverage, benefits, and prior authorization requirements for every scheduled appointment. Conducted 24 to 48 hours in advance, this proactive step eliminates the most common and costly source of claim denials submitting to inactive or incorrect insurance.

Active coverage and deductible status confirmed for every patient
Co-pay, co-insurance, and out-of-pocket maximum verification
Prior authorization requirements identified and initiated early
Primary and secondary payer coordination for dual-coverage patients
Real-time eligibility checks via payer portals and clearinghouses
✅ Outcome: Preventable denials eliminated before the claim is ever submitted
🩺 Step 2 of 6

Accurate Medical Coding and Charge Capture

Our certified CPC and CCS coders review every clinical encounter and assign the most accurate ICD-10, CPT, and HCPCS codes with appropriate modifiers. Specialty-specific coding expertise ensures every billable service is captured legally and compliantly for maximum reimbursement without audit risk.

Specialty-specific CPT code selection across 30+ medical disciplines
ICD-10 diagnosis coding with specificity to support medical necessity
Modifier assignment including 25, 59, 95, GT, and payer-specific requirements
E/M level selection with supporting documentation review
Undercoding audit to recover missed billable services from prior claims
✅ Outcome: Every billable service captured with maximum defensible reimbursement
🔍 Step 3 of 6

Multi-Layer Claim Scrubbing

Before submission, every claim passes through our proprietary multi-layer validation engine. This process catches formatting errors, missing data, payer-specific rule violations, and medical necessity issues that would otherwise result in rejections or denials. Our 97% first-pass acceptance rate is a direct result of this rigorous scrubbing process.

Demographic and insurance information verified for completeness
Code validity checked against payer-specific LCD and NCD policies
Modifier combinations validated per payer billing guidelines
Duplicate claim detection to prevent costly payer penalties
Medical necessity linkage between diagnosis and procedure codes confirmed
✅ Outcome: 97% first-pass claim acceptance rate, far above the 85% industry average
📤 Step 4 of 6

Electronic Submission and Real-Time Tracking

Clean claims are submitted electronically to all payers through our clearinghouse network with real-time status tracking from submission through adjudication. Our team monitors every claim in transit and responds immediately to any rejection notices, ensuring nothing falls through the cracks and your cash flow remains predictable.

Electronic claim transmission to all major payers and clearinghouses
Real-time acknowledgment and rejection monitoring within hours of submission
Immediate correction and resubmission of any rejected claims
Timely filing deadline tracking to prevent claim expiration
Payer adjudication status monitored through completion
✅ Outcome: 40% faster reimbursements compared to practices using in-house billing
💳 Step 5 of 6

Payment Posting and Reconciliation

All payments received, including electronic remittance advice, paper explanation of benefits, and patient payments, are posted accurately and reconciled against expected reimbursements. We identify contractual adjustments, underpayments, and payer discrepancies, disputing any amounts that fall below your contracted rates.

ERA and paper EOB posting with line-level accuracy
Patient payment posting including copays, deductibles, and self-pay balances
Contractual adjustment reconciliation against payer fee schedules
Underpayment identification and formal dispute filing with payers
Secondary billing triggered automatically after primary payer adjudication
✅ Outcome: 98.4% net collection rate, ensuring maximum capture of every dollar earned
📊 Step 6 of 6

AR Follow-Up, Denial Appeals and Reporting

Our dedicated AR specialists systematically work every unpaid and denied claim through structured aging bucket workflows. We submit appeals with complete clinical documentation and track every outcome. Monthly executive reports give you full financial visibility into collections, denial trends, and overall revenue cycle performance.

Structured AR follow-up across 0 to 30, 31 to 60, 61 to 90, and 120+ day aging buckets
Denial root-cause analysis and systemic fix implementation
Formal appeal submission with payer-specific documentation packages
89% appeal success rate across all contested claim types
Monthly executive dashboard covering collections, denial rates, and days in AR
✅ Outcome: Average reduction from 55+ days to under 35 days in AR within 90 days

6 Years of Transforming Healthcare Revenue

Medixion Pro Logo

Medixion Pro Healthcare & IT Solutions

📍 150 washington street ave Santa fe Nm

500+
Providers Served
6+
Years Experience
50
States Covered
✅ HIPAA Certified 🏆 Award-Winning 🌐 Nationwide

Founded in 2019, Medixion Pro Healthcare & IT Solutions has been a trusted partner for healthcare providers across the United States. Based in New Mexico, our team of certified billing specialists, coders, and RCM experts work tirelessly to ensure your practice maximizes every dollar earned.

🔒

100% HIPAA Compliant

All patient data and billing information is handled with the highest security standards and full regulatory compliance.

👨‍💼

Certified Billing Specialists

Our team holds certifications in medical coding (Certified Professional Coder and Certified Coding Specialist) and stays current with the latest payer requirements and CMS guidelines.

📊

Real-Time Reporting & Analytics

Transparent dashboards and monthly performance reports keep you informed on every aspect of your revenue cycle.

🌐

All 50 States Coverage

We support medical practices in every U.S. state with state-specific billing expertise and payer knowledge.

Comprehensive RCM Solutions

From credentialing to collections, Medixion Pro Healthcare & IT Solutions handles every step of your revenue cycle eligibility verification, medical coding, claim submission, payment posting, denial management, AR follow-up, provider credentialing, and patient balance resolution with certified specialists, advanced technology, and a proven process that maximizes collections for practices of all sizes and specialties across all 50 states.

Provider Credentialing

End-to-end credentialing managing the complete enrollment process with all commercial and government payers. We handle Medicare, Medicaid, CAQH setup, UnitedHealthcare, Aetna, Cigna, BCBS, and Humana with weekly status updates.

Learn More →

Virtual Practice Management

Comprehensive virtual practice management including VA community care billing via CCN and TriWest, scheduling, workflow automation, and administrative support. We manage every operational aspect remotely so your team can focus entirely on patient care.

Learn More →

Scribing

Professional medical scribing services that allow physicians to focus entirely on patient care. Our trained scribes document patient encounters in real time, capturing chief complaints, histories, physical exam findings, diagnoses, and treatment plans accurately in your EHR eliminating documentation burden and dramatically reducing physician burnout.

Learn More →

Revenue Cycle Management

Full-service RCM covering every touchpoint from patient intake and eligibility verification through charge capture, claims submission, payment reconciliation, and denial management giving your practice complete financial visibility.

Learn More →

Prior Authorization

Dedicated prior auth specialists manage the entire pre-approval process with all commercial and government payers. We eliminate authorization-related denials and keep your schedule moving without delays caused by payer red tape.

Learn More →

Insurance Verification

Comprehensive pre-appointment eligibility and benefits verification for every patient. We confirm active coverage, deductibles, co-pays, co-insurance, and prior authorization requirements before arrival preventing costly rejections at the source.

Learn More →

Medical Coding

Certified coders specializing in accurate ICD-10-CM, CPT, and HCPCS Level II code assignment across all specialties. We apply correct modifiers and stay current with annual code updates to maximize reimbursement and reduce audit risk.

Learn More →

Medical Billing

End-to-end medical billing for practices of all sizes. We manage the entire claim lifecycle from charge entry and claim scrubbing to electronic submission and payment posting ensuring maximum reimbursement on every encounter.

Learn More →

AR Follow-Up & Denial Mgmt

Dedicated AR specialists work every unpaid and denied claim systematically, contacting payers directly, identifying root causes, and submitting timely appeals with supporting documentation. We reduce days in AR and recover lost revenue.

Learn More →

Payment Posting & Reconciliation

Accurate posting of all ERAs, paper EOBs, and patient payments reconciled against expected reimbursements. We identify contractual adjustments, underpayments, and payer discrepancies disputing them on your behalf to recover every dollar owed.

Learn More →

Top Notch IT Services

We deliver comprehensive IT services to healthcare providers, medical practices, and businesses of all kinds from solo practitioners to enterprises looking to establish or grow their digital presence. Whether you are in healthcare or any other industry, our team has the expertise to power your digital success.

SEO

Dominate Google search results and get found by patients and clients actively searching for your services. Our SEO experts optimize your website structure, local listings, on-page content, technical performance, and link profile to drive consistent organic traffic growth.

Learn More →

Digital Marketing

Full-service digital marketing campaigns including Google Ads, Facebook & Instagram advertising, email marketing, and reputation management. We help healthcare providers and businesses of all types attract new clients and grow revenue consistently across every digital channel.

Learn More →

Web Development

Custom, HIPAA-compliant healthcare websites built to convert visitors into patients. From patient portals and appointment booking systems to full practice websites, we design and develop modern, mobile-friendly digital experiences your patients will love.

Learn More →

Graphic Designing

Professional healthcare branding and visual design services including logo design, brochures, social media graphics, signage, and marketing collateral. We build cohesive visual identities that establish trust and recognition for your practice.

Learn More →

Who We Serve

We provide comprehensive billing and IT services to healthcare providers across the United States and our IT solutions are available to businesses and individuals in any industry.

🏥

Hospitals

Inpatient & Outpatient Billing

🏨

Inpatient Care

Admissions, DRG & UB-04 Billing

🩺

Outpatient Care

Clinic & Ambulatory Billing

🏪

Clinic Offices

Private & Group Practice Billing

🧪

Laboratory

Lab & Pathology Billing

💊

Pharmacy

Specialty & Retail Pharmacy Billing

Urgent Care

Walk-in & Emergency Billing

🏡

Home Health

Home Care & Hospice Billing

💻

Telehealth

Virtual & Remote Care Billing

🎖️

VA Healthcare

VA Community Care Billing

Billing Expertise Across 30+ Specialties

Certified billing experts across 30+ specialties precise coding, faster reimbursements, fewer denials.

🫀

Cardiology

🧠

Neurology

🦴

Orthopedics

👁️

Ophthalmology

🩺

Internal Medicine

🧬

Oncology

👶

Pediatrics

🦷

Dental Billing

🧘

Physical Therapy

🔬

Pathology

💊

Pain Management

🏥

Family Medicine

🧪

Laboratory

🩻

Radiology

🧓

Geriatrics

We Work With All Major Billing Platforms

Medixion Pro Healthcare & IT Solutions integrates seamlessly with every leading EHR, practice management, and billing software no switching required. From large hospital systems to small practice tools, we work within your existing workflow from day one. Our certified team is trained on all major platforms, ensuring zero disruption during onboarding and maximum efficiency from your first claim.

Seamless Integration

Our team connects directly to your existing EHR or billing platform with zero setup cost and zero workflow disruption. We begin processing claims from your existing system on day one without requiring any migration or system changes from your staff.

🔒

Secure Data Transfer

All platform integrations use encrypted, HIPAA-compliant data transfer protocols including direct API connections, secure sFTP, and clearinghouse-based integrations. Your patient data and billing information remain fully protected at every touchpoint across all connected systems.

🎯

Platform-Specific Expertise

Each billing software has its own quirks, reporting formats, and claim submission pathways. Our specialists are certified and trained on each platform we support, ensuring we extract maximum efficiency and accuracy from whatever system your practice currently uses.

Why Practices Choose Us

97%

First-Pass Acceptance

Our industry-leading 97% first-pass claim rate sits 12 points above the national average of 85%. Every claim goes through a rigorous multi-layer scrubbing engine before submission, catching demographic errors, code mismatches, modifier issues, and payer-specific rule violations in real time. The result is faster payment, zero rework burden on your staff, and a revenue cycle that runs without constant intervention.

40%

Faster Reimbursements

Practices that partner with us consistently see reimbursement timelines shrink by 40% within the first 90 days of onboarding. Our electronic submission workflows, direct payer integrations, and proactive AR follow-up protocols eliminate the delays that most in-house billing teams accept as unavoidable. Real-time claim tracking means no payment ever falls through the cracks, and cash flow becomes predictable and reliable month after month.

60%

Operational Efficiency

Outsourcing your revenue cycle to Medixion Pro Healthcare and IT Solutions reduces administrative overhead by up to 60%. Your front desk and clinical staff are freed from chasing claims, navigating payer portals, decoding remittance advice, and managing denial queues. Instead, they can dedicate their full energy to delivering exceptional patient experiences, while our certified billing specialists handle every financial workflow with precision and speed.

24/7

Dedicated Support

Every client receives a dedicated account manager who serves as their single point of contact for all billing matters. Our team is available around the clock to handle urgent billing inquiries, escalate complex payer disputes, answer coding questions, and provide real-time claim status updates. You are never routed through a call center or left waiting on a ticket queue when revenue is actively on the line and your practice needs answers fast.

Why Clients Never Look Back

From day one, we become an extension of your practice relentlessly protecting your revenue while you focus on what matters most: your patients.

🔒
Zero Revenue Left Behind

Every claim, every denial, every underpayment is tracked and pursued. Our AR teams work until every recoverable dollar is collected nothing ages out unchallenged.

📊
Full Financial Transparency

Monthly executive dashboards give you a crystal-clear view of your revenue cycle health collection rates, denial trends, DAR, and cash flow forecasting in one place.

Onboarding in 72 Hours

No long setup timelines. We integrate with your existing EHR, align with your payers, and have your billing running typically within 72 hours of signing.

🏆
Certified Experts Not Generalists

Our CPC and CCS certified coders specialize in your specialty, meaning fewer errors, higher reimbursements, and full compliance every single claim.

🤝
Performance-Driven Partnership

We're invested in your success. Our pricing is tied to results when you collect more, everyone wins. That alignment drives everything we do for your practice.

What Sets Us Apart

We don't just process claims we become a true financial partner, combining certified expertise, proven technology, and transparent reporting to deliver results other billing companies can't match.

🎯

Specialty-Specific Expertise

Our coders and billers are not generalists they specialize in your exact discipline. Whether you practice Cardiology, Behavioral Health, or Physical Therapy, your dedicated team understands the specific codes, modifiers, payer rules, and documentation requirements that drive higher reimbursements in your specialty.

📊

Full Transparency & Reporting

No black boxes. Every month you receive a comprehensive executive dashboard covering gross charges, net collections, denial rates by payer and code, days in AR, and payer mix trends. You always know exactly where your revenue stands and where opportunities exist to improve financial performance.

🔒

HIPAA-Certified Security

Every client receives a comprehensive Business Associate Agreement before a single piece of PHI is shared. All data is encrypted in transit and at rest, access is role-based, and we conduct annual third-party security audits. Your patients' privacy and your practice's compliance are never compromised.

Zero System Disruption

We integrate into your existing EHR and practice management software from day one no switching, no learning curve, no workflow disruption. Our team is trained on all major platforms including Epic, Athenahealth, AdvancedMD, Tebra, DrChrono, and dozens more, so onboarding is seamless and fast.

🤝

Dedicated Account Manager

Every practice is assigned a single dedicated account manager not a call center queue or a ticket system. Your manager knows your practice, your payers, your providers, and your goals. They are your direct line for billing questions, escalations, and proactive strategic guidance to grow your revenue year after year.

🌐

All 50 States, Every Payer

From Medicare and Medicaid to major commercial carriers and state-specific plans, our team knows every payer's rules, timely filing deadlines, and appeals processes nationwide. We serve solo practitioners and multi-location group practices across all 50 states with the same standard of excellence and attention to detail.

Start Your Free Consultation →
Contact Us

Get in Touch Today

Talk to a billing expert and discover how Medixion Pro Healthcare & IT Solutions can improve your practice's financial performance.

Request a Callback

Fill out the form below and a billing expert will reach out within 12 hours.

🔒 HIPAA compliant. Your information is 100% secure and confidential.

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Thank you for reaching out. A Medixion Pro Healthcare & IT Solutions billing specialist will contact you within 12 hours to discuss how we can help your practice.

Industry Insights & Blog

Our Latest Blog Posts

Expert articles, billing tips, and industry updates to help your practice stay ahead in revenue cycle management.

Medical Billing

10 Common Medical Billing Mistakes That Cost Your Practice Revenue

From incorrect patient demographics to missing modifiers, discover the top billing errors causing your practice to lose thousands in reimbursements every month and how to fix them.

April 12, 2025 Read More →
Denial Management

How to Reduce Claim Denial Rates Below 3%: A Proven Strategy

High denial rates drain revenue and exhaust staff. Learn the systematic approach our AR specialists use to identify denial patterns, appeal successfully, and prevent recurring rejections at the source.

March 28, 2025 Read More →
Medical Coding

ICD-10 vs CPT Codes: What Every Practice Manager Must Know

Understanding the difference between diagnosis codes and procedure codes is fundamental to accurate billing. We break down what coders do, why specificity matters, and how coding errors silently erode your revenue.

March 10, 2025 Read More →
Credentialing

Provider Credentialing Timeline: What to Expect and How to Speed It Up

Credentialing delays cost practices thousands in lost revenue each month. Learn what the typical timeline looks like, what causes delays, and the proven steps to get in-network faster.

February 18, 2025 Read More →
RCM Strategy

The Complete Guide to Revenue Cycle Management for Small Practices

Small and solo practices face unique RCM challenges with limited staff and resources. This comprehensive guide walks through every stage of the revenue cycle and shows how to optimize each one efficiently.

February 3, 2025 Read More →
HIPAA Compliance

HIPAA Compliance Checklist for Your Medical Billing Partner

A HIPAA breach can cost a practice hundreds of thousands of dollars in penalties. Learn exactly what security measures, BAA requirements, and audit protocols your billing partner must have in place.

January 20, 2025 Read More →
Accounts Receivable

Why Your Days in AR Are Too High and the Step-by-Step Fix

Industry benchmark for days in AR is 30 to 35 days. If your practice is above 45, revenue is silently leaking out. Discover the specific workflows and escalation protocols that bring AR down fast.

January 5, 2025 Read More →
Blog Article

Rate Our Services

Trusted by 500+ healthcare providers across the United States. Share your experience with Medixion Pro Healthcare & IT Solutions.

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⭐ Recent Reviews

DR
Dr. Rachel M.
Cardiology Practice, Texas
★★★★★

"Our denial rate dropped from 18% to under 3% within 60 days. Outstanding results and incredibly responsive team."

2 days ago
SH
Sarah H., Practice Manager
Pediatrics Group, Florida
★★★★★

"Credentialing done in record time. Medixion Pro handled everything — PECOS, Medicare, all payers. Zero stress on our end."

5 days ago
MK
Dr. Michael K.
Orthopedic Surgery, California
★★★★★

"Revenue increased 40% in 3 months. Their RCM team is phenomenal — proactive, transparent, and deeply knowledgeable."

1 week ago
AP
Dr. Aisha P.
Mental Health, New York
★★★★★

"HIPAA compliance was our biggest concern. Medixion Pro put every safeguard in place. We feel completely secure with their team."

2 weeks ago

What Our Clients Say

Real results from real healthcare providers from solo practitioners to multi-location practices across all specialties nationwide.

★★★★★

"Switched from our in-house billing team to Medixion Pro — best decision we ever made. Collections up 43% in 90 days."

JL
Dr. James L.
Internal Medicine, Ohio
★★★★★

"Our VA Community Care billing was a nightmare before Medixion Pro. Now it's fully streamlined. Claims go out same day."

TW
Dr. Thomas W.
VA Provider, Virginia
★★★★★

"Prior auth approvals used to take 2 weeks. Medixion Pro gets them done in 48 hours. Our patients are thrilled, and so are we."

NR
Dr. Nadia R.
Rheumatology, Illinois
★★★★★

"The team is incredibly knowledgeable about neurology-specific codes. Zero learning curve. They hit the ground running from day one."

EF
Dr. Elena F.
Neurology, Georgia
★★★★★

"First-pass rate went from 78% to 96% in the first month. Their denial management is aggressive and effective. Highly recommend."

CB
Dr. Carlos B.
Family Medicine, Arizona
★★★★★

"We're a 12-provider group. Medixion Pro handles all specialties seamlessly. One point of contact, flawless execution across the board."

PK
Patricia K., CEO
Multi-Specialty Group, Michigan
★★★★★

"Switched from our in-house billing team to Medixion Pro — best decision we ever made. Collections up 43% in 90 days."

JL
Dr. James L.
Internal Medicine, Ohio
★★★★★

"Our VA Community Care billing was a nightmare before Medixion Pro. Now it's fully streamlined. Claims go out same day."

TW
Dr. Thomas W.
VA Provider, Virginia
★★★★★

"Prior auth approvals used to take 2 weeks. Medixion Pro gets them done in 48 hours. Our patients are thrilled, and so are we."

NR
Dr. Nadia R.
Rheumatology, Illinois

Frequently Asked Questions

Answers to the most common questions we receive from healthcare providers about medical billing, credentialing, and revenue cycle management.

How soon can you start billing for our practice?

+

Most practices are up and running within 5 to 10 business days. We handle the EHR access setup, verify your payer enrollments, review your current billing workflows, and coordinate with your staff so the switch is smooth. You won't miss a beat with your cash flow.

How do you charge for your billing services?

+

We work on a percentage of what we actually collect for you, so we only get paid when you get paid. No flat monthly fees, no setup costs, no long-term lock-in contracts. The rate is customized based on your specialty and volume. Just reach out and we'll give you a straight, no-surprise quote.

Do you work with our existing EHR or billing software?

+

Yes, we work inside your existing system. We are trained on over 30 platforms including Epic, Cerner, Athenahealth, eClinicalWorks, AdvancedMD, Kareo, Tebra, and more. There is no need to switch software or retrain your team. We adapt to your workflow, not the other way around.

What happens when a claim gets denied?

+

We review every denial within 24 to 48 hours, find out exactly why it was denied, pull the supporting documentation, and send back a properly built appeal. We win about 89% of the appeals we file. We also look at denial patterns every month so we can fix whatever is causing them on the front end.

How long does credentialing with insurance companies take?

+

It depends on the payer, but usually between 30 and 120 days. We manage the whole thing, including your CAQH profile, the applications, the follow-up calls with each carrier, and all the back-and-forth that typically causes delays. We send you weekly updates so you always know where things stand.

Is our patient data safe with you?

+

Absolutely. We are fully HIPAA compliant and sign a Business Associate Agreement before touching any patient information. All data is encrypted at rest and in transit. Our team completes HIPAA training every year, and we bring in outside auditors annually to test our security. Your patients' information is treated with the same care as your own.

What specialties do you bill for?

+

We handle billing for over 30 specialties including Cardiology, Orthopedics, Neurology, Behavioral Health, Family Medicine, Internal Medicine, Pediatrics, Oncology, Dermatology, Pain Management, Physical Therapy, Telehealth, and many more. Our billing specialists are trained by specialty because every field has its own coding rules and payer quirks.

What kind of reports do we get?

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Every month you get a full financial report covering charges, collections, denial rates, days in AR, and how each payer is performing. You will also have a dedicated account manager who reviews the numbers with you and explains what they mean in plain language, not just raw data.

Do you also handle prior authorizations?

+

Yes. We start authorizations 24 to 48 hours before scheduled procedures, track every approval, handle renewals before they expire, and do all the peer-to-peer coordination when a payer asks for extra justification. Your staff does not have to spend hours on hold with insurance companies anymore.

Can you help us get paid faster and lower our AR days?

+

Yes, and this is one of the first things most clients notice. Practices coming to us with AR days over 50 usually get below 35 within the first 90 days. We do this by working claims proactively, chasing every unpaid account by priority, and fixing whatever eligibility or coding issue was slowing things down in the first place.

Do you handle VA billing?

+

Yes. We bill for VA Community Care Network patients through TriWest and Optum. VA billing has its own authorization requirements, claim formats, and documentation rules that differ from standard insurance billing. Our VA billing team knows exactly what each carrier needs and makes sure claims go out clean the first time.

Do you work with small practices or only large groups?

+

We work with everyone from solo providers to large multi-location groups. Small practices actually tend to benefit the most because they get access to a full billing team for a fraction of what it costs to hire even one in-house biller, and they get better results. We scale with you as your practice grows.